Transcript Slide 1
Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager
Transforming Community Services
Aim of the Presentation
• Welcome • Provide an overview of the Transforming Community Services Programme • Outline the Community Information project
• They provide essential care to many, often vulnerable, people, families and communities along the full spectrum from health promotion to end of life care • This is on a large scale community services represent 10% of NHS spend and 250,000 staff • They are essential for delivering major strategic change and efficiency improvements in other sectors e.g. hospital utilisation
Services do not have capacity and capability to meet the challenges facing health and care
• £10bn annual spend with largely unmeasured outcomes • Lack of robust data, tariffs and currencies • Large variation in quality, care pathways, productivity, costs and activity • Infrastructure outdated - technology, buildings, workforce • Confusing referral routes, lack of awareness of what’s available • Variable focus, limited innovation
Facing rising demands
• 57% of those over 85 are in contact with a district nurse • 31% increase in people over the age of 85 in the next ten years • 15 million people with chronic long term conditions and increasing • Rising obesity rates amongst children storing up longer terms problems
In a financially difficult climate, with hospital and social care systems also under pressure and growing consumer expectations!
• Increased quality of life, health and well being for many • Reduction in variations in quality and access • More equal access • Promotion of equality • More efficient use of hospital and social care sectors • Better productivity (potentially 10-20%) and value for money
Transforming Community Services – Phase 1 Improving Services
• Transformational Guides in 6 areas • Quality Framework Community Services • Productive Community Services NHSII • Publishing the evidence of what works
Developing People
• 6 Transformational Attributes • Workforce and organisational development • Innovation and Leadership fund
Reforming Systems
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Enabling new patterns of provision
’ • Approaches to Currency and Pricing • National community services contract • Community information models and datasets • Improving commissioning
Transforming Community Services – Phase 2
Quality Innovation Productivity Prevention Developing People Improving Services Reforming Systems • Innovation • Embedding TCS Guides • Adoption of proven methodologies • Leadership and ‘TCS Attributes’ • Workforce and curriculum • Provider development • Commissioning support and development • Quality Framework and indicators • Whole System Pathfinders • Service user engagement • Equality and diversity Linked and ‘hosted’ programmes • Currency and Pricing • National Contract • Community information • Investment/asset strategy • Impact measurement PVP • AHP offer data collection
Transforming Community Services
Community Information Project
• Community Information Model • Community Information Dataset • AHP – Referral to Treatment Data Reporting • Mobile Solutions
Transforming Community Services
Community Information Model
• Developed with 35 PCT pilot sites • Provides the foundation stone for the Community Information Project • Assists providers and commissioners to develop their local plans to further improve community information collection and reporting • So what is the model?
Transforming Community Services Functionality
What data and information is produced
Maturity
How well the model is embedded in the organisation
Stakeholders
Whose information needs the model meets
Transforming Community Services Business Objectives Tier 3 Sustained Tier 4 Advanced
Information systems do not reflect business objectives eg. lack of service line definitions Information systems poorly aligned to business objectives eg. service line definitions based on staff groups Information systems partially aligned to business objectives eg. service line definitions based on health needs Information systems strongly aligned to business objectives, service line definitions reflect local health economy Information systems completely aligned to business objectives eg. service line definitions based on outcomes Organisational processes are not supported by timely, accurate and relevant information Organisational processes make use of ad-hoc information Information to support organisational processes is produced to meet routine requirements Regular accurate information is supplemented by ad-hoc reports to meet specific requirements Accurate, timely and relevant information is produced pro actively to influence organisational processes The information team is under resourced and remote from management and front-line staff The information team is under resourced but has some engagement with management and front-line staff The information team has a good range of skills and has regular engagement with management and front-line staff The information team work alongside management and front-line staff Members of the information team are fully integrated with management and front-line staff Data is incomplete, inconsistent and unvalidated Local definitions exist but data quality is variable Data is consistently collected to local standards and routinely validated Data meets national standards and is held centrally Data meets national standards and links to other centrally held datasets Manual paper based systems Bespoke or local systems based on spreadsheets or databases with manual input Some NPfIT products but limited integration across different systems Full implementation of NPfIT products with full system integration Fully integrated IT system with advanced use of secure field-based mobile technology
Transforming Community Services
Community Information Dataset
• A national dataset to support the efficiency of service planning, management and commissioning of community services.
• Therefore supporting Quality, Innovation, Productivity and Prevention gains to deliver consistently higher quality care in the community setting
Transforming Community Services
Multi Agency Project Roles
Community information dataset development- NHS Information Centre Infrastructure to ensure recording and reporting – NHS Connecting For Health Approval of developed dataset – Information Standards Board Approval of project controls – OGC Gateway team
Transforming Community Services
AHP Referral to Treatment Data Reporting
Developed to deliver the mandate of ‘Framing the contribution of allied Health Professionals (2008) mandates the collection of RTT from 2010 Pilot sites being established to test the current definitions and processes used by some organisations 18 week RTT definitions Expert Reference panel
Transforming Community Services
Mobile Solutions
•Significant evidence is available which demonstrates the benefits to be secured through the adoption of mobile solutions •Some evidence of excellent local adoption but not widespread •Further support required to accelerate learning and adoption of mobile solutions
Transforming Community Services
Mobile Solutions
•Undertake a costs and benefits analysis of mobile technology in supporting community services to demonstrate the role of mobile solutions in delivering QIPP and Improving Working Lives •Review evaluation of mobile solutions already deployed •Produce State of Readiness Guidance •Establish a number of adoption sites •Support the wide scale adoption of mobile solutions
Transforming Community Services Community Information Project Supporting QIPP Quality
Enhanced patient experienced due to the availability of the clinical record at the point of care. Having the clinical record available at the point of care reduces the necessity to repeat questions and makes test results, which are available, accessible.
Innovation
Monitor improvements in health outcomes and identify contributory factors by capturing accurate, comparable data
Transforming Community Services Community Information Project Supporting QIPP Productivity
Allows measurement of clinical activity and benchmarking against other services / organisations Reducing travel time to and from bases to input clinical activity into desktop computer. Increase in the number of home visits per day due to the reduction in travel time to base
Prevention
Analysis of impact of lifestyle and other risk factors, e.g. smoking, on clinical outcomes in order to plan early intervention
Transforming Community Services